Registered Nurse

Located in a trailblazing, adventure-loving town at the base of the Cascades, Snoqualmie Valley Health is an independent public hospital district serving a vibrant community that thrives on both adventure and connection. This is more than a job—it’s an opportunity to be part of something bigger.

OBJECTIVE

SUMMARY:

The Registered Nurse (RN) is responsible for identifying patient needs and priorities for care through assessment, planning for and delegating care based on patient needs, executing therapeutic physician or nurse-initiated interventions, and evaluating the patient's response to care and progress towards outcomes. Whenever possible, the family or those significant to the family are considered as part of the assessment, planning, intervention, and evaluation efforts of the RN.

When care is not provided directly by the RN, the RN assigns/delegates care to other qualified members of the health care team. The RN coordinates care between other professional disciplines as needed. Through documentation and verbal communication, essential information is shared with health care team members. Unit-based activities which contribute to a positive work and professional environment are performed.

• Accurately triages patients using the Emergency Severity Index (ESI).
• Initiates and documents accurate and ongoing assessment and re‑assessment of physical, psychologic, and social problems of patients within the emergency care setting.
• Collects key information from patient, family, laboratory, and other medical reports.
• Analyzes assessment data to identify patient problems.
• Performs therapeutic nursing interventions consistent with nursing division policies and procedures, demonstrated competencies, and with consideration given to risk management and infection control practices.
• Follows BLS, ACLS, and TNCC protocols.
• Is knowledgeable in arrhythmia detection and treatment.
• Initiates pain management measures according to policies, protocols, and physician orders.
• Is knowledgeable in crisis intervention.
• Identifies expected outcomes individualized to the emergency patient based on the patient’s assessment, identified problems, and cultural diversity.
• Formulates and implements a plan of care for the emergency patient based on assessment, patient problems, and expected outcomes.
• Evaluates and modifies the plan of care based on observable patient responses and attainment of expected outcomes.
• Adheres to established standards of emergency nursing practice, including behaviors that characterize professional status.
• Provides care based on philosophical and ethical concepts. These concepts include reverence for life; respect for the inherent dignity, worth, autonomy, and individuality of each human being; and acknowledging the beliefs of other people.
• Ensures open and timely communication with emergency patients, significant others, and other health care providers through professional collaboration.
• Collaborates with other health care providers to deliver patient-centered care in a manner consistent with safe, efficient, and cost-effective use of resources.
• Demonstrates ability to manage the care of patients with conditions common to the unit.

• Maintains confidentiality in matters relating to patient/family.
• Interacts with patients/families with a variety of developmental and sociocultural backgrounds.
• Provides information to patients and families which reduces anxiety and conveys an attitude of acceptance, sensitivity, and caring.
• Maintains professional relationships and conveys relevant information to other members of the health care team.
• Initiates communication with peers about clinical priorities for care.
• Relays information appropriately over telephone, pagers, and other communication devices.
• Promotes effective teamwork.
• Accepts a patient care assignment based on patient census, acuity, needs, and the qualifications and competencies of self and of other staff members.
• Delegates work to other staff members as needed.
• Initiates problem-solving and conflict resolution skills to foster effective work relationships with peers.

• Attends at least 75% of staff meetings and all mandatory in‑service.
• Contributes to the annual review of unit-based practices, protocols, and policies.
• Assists in the development of indicators, benchmarks, and data collection as assigned.
• Responds to problems/opportunities to improve care.
• Supports and is involved in the hospital's Quality Improvement initiatives.
• Participates in and maintains competencies required for the position.

• Graduation from an accredited School of Nursing with current Registered Nurse licensure from the State of Washington.

• Bachelor of Science in Nursing from an accredited School of Nursing.

• At least one year of emergency department or critical care experience.

• BLS Certification required.
• ACLS certification required.
• PALS Certification required.
• TNCC…